The database, which is scheduled to go online in March and be called SaferProducts.gov, will allow consumers to report events of harm, or potential harm, caused by products as varied as toys and cleaners.
The rate of events of harm to others (the base rate for violence) was 7.1 per 10,000 patient-days at risk (95% confidence interval 3.8 to 12.2/10,000) and the rate of self-harming events (the base rate for self-harm) was 3.8 per 10,000 patient-days at risk (95% CI 1.5 to 7.9/10,000).
This study questions the utility of evidence-based approaches as a uni-dimensional approach to improving clinical care and underscores the importance of standardised approaches to include adverse events, incidence of harm, patient's needs and preferences and clinician's expertise and discretion.
Qualitatively similar results were found when considering time until first event of alcohol-related harm among the full sample; that is, including those with preexisting morbidities.
As a robustness check, we also repeated the above analysis for time until first event of alcohol-related harm, including in those with preexisting morbidities.
As any other causal inference, the confidence in an estimate of a causal association between a modifiable event and the risk of harm is related to the validity of the evidence supporting such association.
Positive predictive value (PPV) with 95% CI for triggers was calculated and we calculated number of harm events per 1000 patient days and 100 patient contacts.
With one in four events involving some form of harm, (nearly all of which involve external agencies) it is also apparent that GPs are prepared to confront potentially difficult issues that may not reflect well on them or their practices.
The specificity of the CDS system is a measure of its ability to distinguish between events that put an individual at risk of harm and non-events that will not: the more false positives, the lower the specificity.
